HomeMy WebLinkAbout2004-P07938 - gas fireplace PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P07938
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(9��) 249-4600 Date Issued: 9i13i2ooa
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SITE ADDRESS: 2625 North Shore Dr
Wayzata,MN 55391
PI D: 09-117-23-42-0003
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Pernuts Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 35.55
APPLICANT: Allied Fireside(See Comments) OWNER: Bartholomew&Elizabeth Butzer
DBA: Fireside Hearth&Home 2625 North Shore Dr
2700 Fairview Wayzata,MN 55391
Roseville,MN 55113
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Avnlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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` CITY O�' OR�NO APPLI�ATIOI>1 FOR Iv�ECHA,NTCAL PERMIT
` Box 6b (2750 Kelley Parkway)
Crystal �ay, MI�155323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Perrnit cards wilI be sent by return mail after a review is completed. PERMITS A.RE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII.THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns- Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehu�nidification, and air conditioning installation including heat loss/heat
gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and
model. Data shall be presented on forrn provided, Identification of and specifications for water heating
equipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be doa�e in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call (952)249-4600. 24-hot�r notice required.
7. House Heating Test Record must be submitted before final.
Instractions
Com.plete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Additio�l ❑ Repair Replace []Residential ❑ Comrnercial
�Ces si'I'E:� Q�a�j �C�Y� v'lc r� �'� ?ig:
���er's Nariae: �.e-��Za.�. �hone I�urreber: -e�i' I — �
l�Iailing Ade�ress: �i�,; �;P,
Con���etor`s l�i�rne: P'ho��Nuaxaber:
1@�IaiEi►�g Ad�ress: C�ty• �lP.
Ailhd Flredds
dbe Flnslde Hearth&Home
L�enso M20090911
2700 N.fairview Ave
Rosevf6e.MN 551 t%
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SYSTEM DESCRIPTION � '
.
HEATING S'1'STEMS
Quantity: (
Nlake: C(�C ��
Model: . ��
Fuel: ��(��
Flue S' e:
I ut BTUs:
Output BTUs: � C'���
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
� Gas factory fireplace ❑ Installing a Gas Line Only
Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with ilue
Brand Name 1„�.(,c� 1•.� ��.,17 Model No.
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'VEN'I'ILATION
No. Kitchen Exhaust duct recalculating cfm
No. �Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEJL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other ' Gas opening �
,� 2 i
M �
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• E�S�e.19�fi21 d`L�` ��Al�V 1J.`i d L�:\(�7�
�00� Sta�� �tata�te ❑ Yes This Seetion�.�pdies
Tl�e replacement af a F�esidential fixture or a��pliance that meets all three of the following requirements:
]) Does not require modification to elech-ica] or gas service.
2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Slcip next section; Cost of Permit $ 15.00
Staie Surcharge $ .5�
��ail-In Fee $ 1.50
If abo��e does not apply, follow guideiines below:
�� �;'�aaa�z-��t ��-a���� �s .0125% of job v;it11 a i�inimucn I�ee of��:�5.00�
���x .0125 $ �
(contract price) (minimum�35.00)
2. �da�e wurei�ar��. ** A.dd the State Building Code Division a 11�izairaaur� �'ee of($ .50)
x .0005 $ �SS
(contract piice) (minimum� .50)
3. �'os�ave anti�andiir�g (�ril��nzcaif-ira ap�liccaEio�as) $ 1.50
4. '�'CB'�'AL ���'I��' ��� (Add lines 1-3 above} � _ 35,��
*CONTRACT PRICE or JOB COST means the actual or estimated dollar an�ount charged for the permitted worl<including
materials,]abor, profit,and other f xed costs. Tt is the ainount to be charged to t�e customer for the work done.If any material;
equipment, labor,or installation is furnished by the owner,tenant or any other party the reasonable marl<et value of such items
must be added to the estimated cost or contract price for permit fee purposes. In the event that Yhere is a dispute on the amount of
thejob cost,the City may request the submission oi a signed copy of the actual contract.
**The STATE SURCIIARGE rs.0005 of the con4�act price under$I,000,000 or 5.50-whichever is greater.For valuations over
�I,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Pen��it,agrees to do all wor};in strict accordance with
the ordinances of the City and the regulations of the Ninnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
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Applicant's Signature: Date: — '4—V�
Approved By: �— Date:
3
�� � DATE�`���G TIME V
CITY OF ORONO CALLED IN �b `"" "
INSPECTION NO ICE SCHEDULED �---�
PERMIT NO. �� •7��� COMPLETED
ADDRESS �� � � � � ���' �� �I�
OWNER CONTR. �C-t-r�G�/2 fY�2r
TELEPHONE NO. ��o� lv � ' o� 7�O
� DESCRIPTION a / �'�� �l����-�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CdRRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
Owner/Contract� �site:
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Inspector.
White Copyllnspector's File Canary CopylSite Notice